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General NPI Number Information
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NPI Number | 1235897240
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Entity Type | Individual
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Provider Name | DR. ADAM HARBORTH
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Gender | Male
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Dates
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Enumeration Date | 12/07/2021
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 5991 S GOLDENROD RD
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City | ORLANDO
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State | FL
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Zip | 32822-8775
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Country | US
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Telephone | 404-710-7575
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Fax |
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Provider Business Mailing Address
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Address Line | 2107 RIVERCHASE BLVD APT 2107
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City | MADISON
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State | TN
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Zip | 37115-2030
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Country | US
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Telephone | 404-710-7575
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 13829
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 14829
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License Number State | FL
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